Individual
HEATHER MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9041 NW 24TH ST, SUNRISE, FL 33322-3225
(954) 213-5351
Mailing address
9041 NW 24TH ST, SUNRISE, FL 33322-3225
(954) 213-5351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9110099
FL
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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